Download - Oksigen terapi
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TERAPI OKSIGENTERAPI OKSIGENIRVAN SETIAWANIRVAN SETIAWAN
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PENDAHULUANPENDAHULUANDEFINISIDEFINISIPemberian oksigen dgn konsentrasi yg lebih besar Pemberian oksigen dgn konsentrasi yg lebih besar
drpd udara ruang sbg terapi ataupun utk drpd udara ruang sbg terapi ataupun utk mencegah hipoksemiamencegah hipoksemia
TUJUANTUJUAN Memperbaiki hipoksemia arterial & hipoksia Memperbaiki hipoksemia arterial & hipoksia
jaringanjaringan ↓ ↓ (gejala) hipoksemia(gejala) hipoksemia ↓ ↓ beban kardiopulmonal dlm respons beban kardiopulmonal dlm respons
kompensasi thd hipoksemiakompensasi thd hipoksemia
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kembali ke fisiologi…
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HIPOKSIAHIPOKSIAInsufisiensi oksigen dalam tubuh dari gas inspirasi ke Insufisiensi oksigen dalam tubuh dari gas inspirasi ke
dalam jaringandalam jaringanDODO22 = CO x 10 [(1,34 x Hb x SaO = CO x 10 [(1,34 x Hb x SaO22) + (0,003 x PaO) + (0,003 x PaO22))
TIPETIPE Hypoxemic hypoxiaHypoxemic hypoxia Circulatory hypoxiaCirculatory hypoxia Hematological / anemic hypoxiaHematological / anemic hypoxia Demand hypoxiaDemand hypoxia Histotoxic hypoxiaHistotoxic hypoxia
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HIPOKSIAHIPOKSIA
Gejala & tandaGejala & tanda Takipnea, dispnea, hiperpneaTakipnea, dispnea, hiperpnea Takikardia, disritmia, perubahan nadi, Takikardia, disritmia, perubahan nadi,
hipertensihipertensi Anemia, polisitemiaAnemia, polisitemia Restlessness, disorientasi, letargiRestlessness, disorientasi, letargi Sianosis, clubbing fingerSianosis, clubbing finger
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INDIKASI TERAPI OKSIGENINDIKASI TERAPI OKSIGEN Terapi hipoksiaTerapi hipoksia Menurunkan Menurunkan work of breathingwork of breathing Menurunkan kerja miokardMenurunkan kerja miokard Trauma beratTrauma berat Pasca operasi (jangka pendek)Pasca operasi (jangka pendek)
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METODE PEMBERIANMETODE PEMBERIAN Kanula nasalKanula nasal Sungkup muka sederhanaSungkup muka sederhana Sungkup muka dgn kantong Sungkup muka dgn kantong non non
rebreathingrebreathing CPAP (CPAP (continuous positive airway continuous positive airway
pressurepressure))
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Kanul HidungKanul Hidung ditujukan untuk pasien tanpa hiperkapnia ditujukan untuk pasien tanpa hiperkapnia
yang memerlukan oksigen suplementasi yang memerlukan oksigen suplementasi hingga 40%, kecepatan 2-6 l/menithingga 40%, kecepatan 2-6 l/menit
NyamanNyaman
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Masker sederhana (Masker sederhana (simple masksimple mask))kecepatan 5-12 l/menit, juga berguna kecepatan 5-12 l/menit, juga berguna untuk pasien dengan obstruksi untuk pasien dengan obstruksi hidung dan bernapas hidung dan bernapas lewat mulut lewat mulut
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Masker Masker rebreathing rebreathing dan masker dan masker nonrebreathingnonrebreathing
memiliki reservoir dibawah dagumemiliki reservoir dibawah dagu NonrebreathingNonrebreathing : : katup katup
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Continous Positive Airway Pressure/CPAPContinous Positive Airway Pressure/CPAP pemberian tekanan positif (inspirasi dan pemberian tekanan positif (inspirasi dan
ekspirasi)ekspirasi), , bernapas spontanbernapas spontan ↓↓ work of breathingwork of breathing ↓↓ hipoksiahipoksia Mcegah atelektasisMcegah atelektasis
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Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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ALGORITHM
Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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ALGORITHM - continued
Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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ALGORITHM - continued
Sumber: Joint Royal Colleges Ambulance Liaison Committee/Warwick University. April 2009. Retrieved 2009-06-
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RISIKO TERAPI OKSIGENRISIKO TERAPI OKSIGEN Toksisitas OksigenToksisitas Oksigen
– FiO2 > 60% yang lamaFiO2 > 60% yang lama– Radikal bebasRadikal bebas– Kerusakan kapiler & fibrosis paruKerusakan kapiler & fibrosis paru– Toksisitas SSP, ROPToksisitas SSP, ROP
Narkosis CO2Narkosis CO2– Ventilatory drive Ventilatory drive ↓, V/Q mismatch ↓, V/Q mismatch CO2 CO2 ↑↑– Asidosis, penurunan kesadaranAsidosis, penurunan kesadaran
KebakaranKebakaran
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TERIMA KASIHTERIMA KASIH